hoarse cough
Introduction
Introduction Cough and hoarseness is one of the symptoms of cough caused by laryngitis. Laryngitis causes hoarseness and hoarseness. It is the main symptom of the disease of the throat (especially vocal cords). It is caused by laryngeal lesions and can also be caused by systemic diseases. The degree of hoarseness varies with the severity of the lesion. The lighter person only sees the pitch become lower and thicker, and the heavy one vocalizes hoarseness or even whispers or aphasia.
Cause
Cause
1, vocal cord polyps, vocal cord nodules, chronic laryngitis, patients have excessive pronunciation, such as long speech, loud shouting, long-term crying history, or improper use of sound, habitual clearing, frequent smoking and alcohol stimulation history, Chronic laryngitis and early vocal cord nodules are abnormally pronounced
It is intermittent, and after a long time of vocalization, there will be hoarseness. When the vocal cord lesions are obvious, persistent hoarseness can also occur, and vocal cord nodules and vocal cord polyps often show persistent hoarseness.
2, accompanied by sore throat, swallowing pain, after a cold and fever, may be acute pharyngitis. Severe sore throat, long-term unhealed, but also consider the possibility of laryngeal tuberculosis or malignant tumors.
3, the voice is dumb, even harsh, accompanied by a sense of laryngeal obstruction, cough, blood in the sputum, accompanied by a mass of the neck, older patients should be alert to the possibility of laryngeal cancer; in addition, extra- laryngeal tumors such as esophageal cancer , lung cancer, thyroid tumors, mediastinal tumors, etc. may also appear hoarseness after compression of the recurrent laryngeal nerve.
4, vocal cord paralysis can also appear hoarse. Bilateral vocal cord paralysis can also cause difficulty breathing.
5, sudden loss of sound, or as low as a whisper, but laughter and cough can be completely normal, may be snoring hoarseness. At this point, check the laryngoscope to see the vocal cord adduction abnormal, but the vocal cord can be normally adducted after coughing.
6, throat foreign body sensation, accompanied by cough, sound easy to fatigue, or have a good night's sleep, or often appear acid reflux, hernia, may also be reflux pharyngitis.
7, other trauma, including dislocation of the ankle joint, and physical and chemical damage to the throat can lead to hoarseness. A hoarse voice must be checked for laryngoscopy to determine the cause and effective treatment.
Examine
an examination
Related inspection
Acoustic impedance examination
Generally cough and hoarseness, bursts of dry cough. When inhaling, the throat will be accompanied by a whistling sound. When coughing, there is a "beep" sound of bamboo, and it gradually increases. Pediatric acute laryngitis is prone to vocal cord edema, so seek medical attention in time to avoid life-threatening. Can do fiber laryngoscopy and local X-ray examination, blood analysis, examination with throat examination combined with neck palpation.
Diagnosis
Differential diagnosis
Differential diagnosis of cough and hoarseness:
1, allergic cough, also known as cough variant asthma. Most children have a cough that is irritating dry cough, and some are accompanied by a small amount of sputum. When the cough is severe, the lungs can sometimes hear the s sound. Most of the cough only occurs at night or in the morning, or after exercise and crying. Symptoms often occur repeatedly or continuously for more than a month, and there is no significant improvement after taking antibacterial drugs.
2, hoarse voice: hoarse voice, or so-called hoarseness, means that the sound is lost when it is mellow and clear. Clinically, there are varying degrees of changes in sound quality. The lightest is called "hair", that is, there is a certain degree of sound quality change when the treble is high, and the sound becomes rough. "Sand" means that the sound quality of almost all tones has changed. Moderate changes in sound quality are called . At this time, in addition to the rough and impure quality, there is still a leak, indicating that the bilateral vocal cords have significant gaps in pronunciation. Severe sound quality changes are called "dumb", that is, the glottal gap is large when the sound is emitted, the vocal cords cannot vibrate, and only the whisper can be heard.
